State of Utah
State of Utah is a Prison Health Clinic/Center in Slc, Utah. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
195 N 1950 WSlc, UT 84116-3100
Phone: (801) 538-4330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prison Health Clinic/Center (primary) | Taxonomy 261QP2400X |
|---|
Record details
| NPI number | 1982429528 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | State of Utah |
| Authorized official | Brett Petersen — Division Director · (801) 538-4330 |
| Other names | Juvenile Justice And Youth Services |
| NPI enumerated | November 19, 2024 |
| Last updated in NPPES | November 19, 2024 |
| Certification date | November 19, 2024 |
| Mailing address | 195 N 1950 W, Slc, UT 84116-3100 |